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Organization

POPHEALTHCARE MEDICAL SERVICES OF AZ, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN PORTER (MANAGER, CREDENTIALING & LICENSING)
(615) 630-0988
Entity
Organization

Contact information

Practice address
1438 W BROADWAY RD STE 101, TEMPE, AZ 85282-1173
(877) 358-8109
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(180) 079-3705

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
09/17/2014
Last updated
07/30/2024
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